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Published on: February 26, 2017
Management of near fatal blunt laryngeal trauma
1Department of Anaesthesia and Intensive Care, Colonial War Memorial Hospital, Suva, Fiji. lizdianeirwin@yahoo.com.au
Abstract:
Blunt laryngeal trauma is uncommon, difficult to diagnose and recommended assessment and management guidelines differ. Mortality can be as high as 40%. Initial symptoms might mask the seriousness of the injury and a history of trauma is important. This report describes a case which illustrates many of the difficulties encountered. A high index of suspicion is needed, and all patients with a suspected blunt laryngeal injury, even with minor symptoms, should be taken seriously and considered for early precautionary airway intervention.
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